I was prescribed Vytorin in late 2006 for cholesterol. 2-3 weeks after beginning a daily regimen, my muscles all over my body began aching and cramping constantly. Extremely painful and debilitating. I went to my doctor immediately, but they were clueless. In January 2008 when the pharmaceutical company finally released their test information that they had finished in 2006 (the delay was because they were making about 5 billion a year on the drug and the drug did not work as advertised; why tell anyone if you can get away with it?), and my pharmacist informed me that he thought he now knew what was causing my pain. I quit taking it immediately and my upper body began almost immediately to resolve, but my lower body never has and I can no longer work as I am in pain 24/7. Eventually I was sent to a pain management physician who has sent me to other specialists and so far they've not been able to do anything to help except prescribe me pain meds to mitigate. I have been taking Norco and oxycodone every day to attempt to mitigate the pain. Sometimes it's effective, other times it's not so effective. However, the Florida governor recently has been after "pill mills" and has been scaring the pain management physicians and threatening them with loss of license. I have what my primary care physician calls a high metabolism for certain drugs especially pain killers. To describe, I had a colonoscopy go bad and had to be taken to an ER whereupon they gave me a shot of dilaudid. The nurse returned, left and came back with a physician telling him he had given me enough dilaudid to knock over a horse and I was just sitting up having a conversation with the person who took me to the hospital. They told me I should been almost unconscious. Another time, for a kidney stone, I was given dilaudid again. The doctor noted it wasn't effective and gave me another. It helped some, but I was still able to sit up and have an intelligent, lucid conversation with him. On another note, in lieu of another prescription, I have to drink up to 100 ounces of water and gatorade a day to keep from getting orthostatic hypotension where my blood pressure drops.
Anyway, I was recently asked to give a urine sample at my pain management physician's office and last Friday, June 22, 2011, they informed me the test showed up negative for oxycodone, inferring that I was breaking our agreement and putting me in a situation where they may not prescribe it for me anymore. It's like they were almost accusing me of being a criminal. I haven't slept except for a couple of hours the past 3 days. Since the pain management physician was not present, another physician gave me just enough for 14 days at which time I will have to go back to see my regular physician, pay extra and perhaps the full amount that she charges as the insurance company may not pay for two visits in a month, and also pay for additional pills (basically doubling my normal monthly payment which I can't really afford as I am not independently wealthy like most of us), that is if I get any at all.
Why would the oxycodone (15mg a night cut in two for two 7.5mg doses as my body burns through 15mg as quickly as 7.5mg; I also take Norco 4 times a day, so in all I have to take meds every 4 hours to realize some sort of continuous pain relief; they've tried Oxycontin, a time released pain killer, but it was like taking a sugar pill, it did nothing for my pain) not show up in a urine drug test if I have been taking it every night for almost five years???
Why would oxycodone not show up in a urine drug test if I have taken it daily for several years?
Responses (4)
25 Jul 2011
Drug testing can be highly inaccurate for various reasons, metabolisms being fast, bad test kits and strips ( they are shipped in boxes and stay in the back on non temp controlled trucks) human error and who knows what else. Inform the dr you must drink lots of fluid and that he should do a blood test to check your level, a hair analysis, or I think DZooBaby says gas chromatography is best, but they will want to charge you for those. Can you get a copy of those medical records where you were previously treated with dilaudid and showed it doesn't knock you out, perhaps the dr or nurse's comments are listed in there. Just a thought. It is hard to convince a dr you are telling the truth, but you can try. Short of taking the meds in front of the dr everyday ( which I know is impossible, just putting that in for shiggles) just saying you are willing to take other types of drug testing to prove you are honest may help.
25 Jul 2011
If you are taking the oxycodone the night before and then taking a drug screen later the next afternoon, it is possible that you have metabolized all the drug. Do the Drs know that you cut the 15mg in half and take 1/2 tab? Do you take the other half later in the night or do you only take 7.5mg per night? You might have them try testing you first thing in the AM after taking your dose the night before. They are suspecting diversion, your Drs. Unfortunately in this day and age, Drs are so suspicious because drugs are being sold at an alarming rate on the street and many unscrupulous folks decide it is a great income to take a bottle of meds their insurance paid all but say, 20 dollars for, and turn around and sell them on the street for 4000 dollars. Quite a tidy income! Some one out there is putting them on the street and for income like that I can see why! One of the ways to stop having drugs filter out to the streets is to do urine drug screens.
25 Jul 2011
I have been with the same pain management physician for almost 6 years, I have made it a mission every time I go into her office I take me medications, a written log of when I take them, I precount the pills before an appointment but given all this I realize that we are both under suspicion given the way people do this day and time, Insurance companies, Drug enforcement agencies, and other peers unless a doctor does screening then there is always room for a ?, I don't take it personally because I know that I do the right thing and so does she but I completely understand that she has a liscense to protect and that it's of the utmost importance for her so we can back each other, As Patti said if you can come up with those records many times (with dealing with a patient whose response is irregular the nurses will usually make a comment on the chart, I wish you nothing but the best, it's difficult when you know you've done thr right thing and yet the test does not come back with the correct results. best of luck
29 Jul 2011
I also am on this drug, anything under 30mg 4 x day is short term pain, breakthrough,you mentioned you metabolize fast anyway, if this is 1st time you had this issue,if you think back,possibly the intense summer heat has caused you drink more,whick we know will dilute our test, also any med, ridding your body of cholesterol has to do it by speeding up a process somewhere?? Dr.s dont take time,or have time to go over these things.It's there, I hope u had no med. problems from the error. I live extrme pain,yes some keep going not in pain, and it causes us that hurt badly!! alot hassle I hate anddont feel like dealing with.Oxycotin relesed slowly,you like myself have to have a immediate response or its no relief.Yes we get questions and have more leg work to get our meds correct.That shows alone we live in pain.You are on a low dose,few extra waters and you got neg. read.The dr. should known that one??:(
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pattishan61, Thanks for your response! I'm not able to get on the computer everyday as my pain levels vary often. Yesterday, even with my pain meds, I was off my feet almost the entire day and night. Just up and then back down to hydrate and relieve, get meds, and twice for simple meals. This severity happens about once or twice a week. 7-22-11 was my last appointment when they told me that the test didn't show the oxycodone. They wanted another test and I couldn't give much as on days when I have to drive to this physician's office, I don't hydrate much due to the distance I have to drive and, since I may only get out of the house every other week for groceries, doctor's appointments, and the pharmacy, I don't want to have to stop off every place I go in order to relieve myself. I don't know what the results of that test are yet. Hopefully, it will be positive (not something most people want to say!).
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Another point of note was that my pain physician wasn't at my appointment. She had a family emergency to attend to which I understand. Instead I saw her husband who is an orthopedist. When I asked if they could have mixed my urine sample with someone else’s, the nurse that took it said it never left her, in a very defensive tone. The orthopedist said that even if I had only taken 5mg early in the morning it should show up which I know from coming from a family of physicians and engineers (father, grandfather, and step-father all physicians)is incorrect. I had open heart surgery in 2006 and told the attending anesthesiologist of my high metabolic condition. Unfortunately, he was of the cookbook type physician that if the patient shows this symptom, I do this; if they show another type of symptom, I do that. Good physicians understand that people are like snowflakes and no two are the same. The end result was that I woke up on the table with my chest open, the anesthetic tubes down my throat which I was attempting to pull out as they were choking me, and the nurse screaming for someone to help her hold me down until the anesthesiologist could get me under again. Not my favorite memory! Anyway, it's difficult for me to get out and the pain center wants me back in two weeks instead of just one monthly visit. As you know, this is expensive being on disability alone for income, both for her fee and for the prescription if she continues it (I pray to God). We'll see what happens. I'll answer the other comments you good people have offered when I can sit for some more time. Sitting even for an hour gets my glutes hurting, as standing generates a lot of leg pain. It's what the Vytorin has done to my muscles and it's not known the biochemistry behind it (though it's being studied in some labs now), nor how to treat it other than with pain meds. Three different fibromyalgia drugs have so far been ineffective in diminishing the pain even a little bit.